Provider Demographics
NPI:1154660892
Name:APONTE, TINA MARIE (MSN, ARNP, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:MARIE
Last Name:APONTE
Suffix:
Gender:F
Credentials:MSN, ARNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:4401 S ORANGE AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6934
Mailing Address - Country:US
Mailing Address - Phone:407-207-5717
Mailing Address - Fax:407-245-1423
Practice Address - Street 1:4401 S ORANGE AVE STE 108
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6934
Practice Address - Country:US
Practice Address - Phone:407-207-5717
Practice Address - Fax:407-245-1423
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2837982363LX0001X
FLAPRN2837982363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008321500Medicaid
HA435YMedicare PIN